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MRS. MELINDA R SHORT-RUSSELL MSN, APRN, FNP-BC
NPI 1871789917
Nurse Practitioner in Clermont, FL

Active since September 21, 2007PECOS Enrolled
210 N HIGHWAY 27 STE 1, CLERMONT, FL 34711(352) 243-2544(352) 243-2745 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 30, 2026, Apr 22, 2022, Jan 12, 2021 and 2 more (5 updates tracked since 2020).

About Mrs. Melinda R Short-russell Msn, Aprn, Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MELINDA R SHORT-RUSSELL MSN, APRN, FNP-BC (NPI 1871789917) is an individual nurse practitioner in Clermont, Florida, licensed in Florida (APRN11010479) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Winter Haven, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1871789917
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. MELINDA R SHORT-RUSSELLCredential: MSN, APRN, FNP-BC
Location Address210 N HIGHWAY 27 STE 1Clermont, FL 34711-2411
Mailing Address210 N Highway 27 Ste 1Clermont, FL 34711-2411 · (352) 243-2544 · Fax (352) 243-2745
Phone(352) 243-2544
Fax(352) 243-2745
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 21, 2007
Last NPPES UpdateJanuary 30, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2026
✔ NPI 1871789917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN11010479
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License RN9444048 (FL)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN11010479 (FL)
210 N HIGHWAY 27 STE 1, Clermont, FL 34711
Open in Google Maps ↗

Secondary Practice Location 1

Location 12007 S Lake Cannon Dr NWWinter Haven, FL 33881-3057 · Phone (863) 529-6899 · Fax (863) 583-0382

Other Identifiers 1

Medicaid109165300FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Melinda R Short-russell Msn, Aprn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608289582
PECOS Enrollment IDI20251210003169
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Melinda Short-russell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aesthetic Dermatology PA
Same address
Dermatology
210 N HIGHWAY 27 STE 1
Clermont, FL 34711
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1225101231 (352) 243-2544
Azuree Aesthetics & Skin Care Specialists, LLC
38 mi
Dermatology
304 3RD ST SW STE 3
Winter Haven, FL 33880
  • Reassigned Medicare billing, Florida enrollment
NPI 1255287421 (863) 529-6899

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AESTHETIC DERMATOLOGY PA
Dermatology
210 N HIGHWAY 27 STE 1
CLERMONT, FL 34711
Lake County (352) 243-2544
DR. DAVID L ALLYN MD
Dermatology
210 N HIGHWAY 27 STE 1
CLERMONT, FL 34711
Lake County (352) 243-2544
MRS. NATHALIE CHRISTINE DONNY MA
Counselor (Mental Health)
210 N HIGHWAY 27 STE 1
CLERMONT, FL 34711
Lake County (352) 573-5232

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melinda Short-russell's NPI number?

The NPI number for Melinda Short-russell is 1871789917. It was assigned to this individual provider in the NPPES registry on September 21, 2007.

Where is Melinda Short-russell located?

Melinda Short-russell practices at 210 N Highway 27 Ste 1, Clermont, FL 34711. The listed phone number is (352) 243-2544.

What is Melinda Short-russell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Melinda Short-russell enrolled in Medicare?

Yes. Melinda Short-russell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Melinda Short-russell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melinda Short-russell reassigns Medicare benefits to 2 organizations: Aesthetic Dermatology PA (Clermont, FL) and Azuree Aesthetics & Skin Care Specialists, LLC (Winter Haven, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melinda Short-russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Melinda Short-russell was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.